Trade Associate Individual Membership

Contact details
Company name
Name of applicant*
First Last
Position / job title
Contact email address*
Telephone number*
Website address (if applicable)
Address*
Street Address Address Line 2 Town/City County Postcode Country
Business description*
Please tell us a bit more about your business, including the products and services you offer and the kinds of businesses you work with.
Number of employees*
Please tell us how many employees currently work within your business
Confirmation of Compliance*
I confirm that I will abide by BALPPA’s Code of Practice and Membership Policy and affirm:
- 1. Payment of Membership subscriptions will be met in line with BALPPA’s Membership Policy Choice
Signed
Date
Bank details
Name of account holder
Name of bank/building society
Address of bank/building society
Street Address Address Line 2 Town/City County Postcode Country
Bank/building society account number
Branch sort code
*
- By using this form you agree with the storage and handling of your data by this website. No information will be shared with third parties.*

Contact details